Wisdom teeth or third molars have the greatest variability in development, eruption times, tooth morphology and position. They are commonly associated with impaction due to the lack of space for eruption. Impacted wisdom teeth sometimes require complex extractions whereas others require simple extractions. Knowing how and when to refer to an oral maxillofacial specialist is a great skill. Some cases provide an opportunity to improve confidence in carrying out minor oral surgery but others need to be treated by a specialist. Most private dental clinics are now equipping themselves with the latest technology which is an exciting learning opportunity. With modern day technology/software referrals are simple and streamlined so that urgent cases can be dealt with promptly. Connecting with specialists in the community, knowing the referral process i.e. how to refer, when to refer and when not to, improves clinical practice.